| NPI | 1588924948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SCHULTHEIS Owner 480-257-2736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AZ P-1760941-5) |
| Enumeration Date | 2012-05-20 |
| Last Update Date | 2013-03-07 |